Individual provider Active NPI

Cameron Siceloff

  • Counselor
  • New Orleans, LA
National Provider Identifier
1780043489
Registry record updated Feb 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
701 Loyola Ave
New Orleans, LA 70113-1912
Phone
(504) 558-9595
NPI assigned
Feb 23, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary

Addresses

Primary practice location

701 Loyola Ave
New Orleans, LA 70113-1912

Mailing address

PO Box 50140
New Orleans, LA 70150-0140

Other names 1

  • Mr. Cameron Drake Douglas Siceloff Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1456185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456185600000",
    "number": "1780043489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50140",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701500140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 LOYOLA AVE",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701131912",
            "telephone_number": "504-558-9595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SICELOFF",
        "first_name": "CAMERON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-02-23",
        "last_updated": "2016-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAMERON",
            "last_name": "SICELOFF",
            "middle_name": "DRAKE DOUGLAS",
            "prefix": "MR.",
            "credential": "B.A",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in New Orleans, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.